2013, 06-25 Permit App: BLD-2013-1214 Residence .. .............. .
Pemut Center P r o j e c t # 8147)3— 1 ,�� IF
Spokane
"r 11707 E Sprague Ave Su.te 106 ` " � � t �,,,-7,-;=,7,-1-7,;:,,,,-,,,,,,,,
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Spokane Valley,WA 99206 ' fry s. �w •
Y (509)688-0036 FAX:(50p)688-0037
Community Development WV;'u'•spokanevalley.orz.c�Omj!,:::4 2 r': `;', 1`)
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CSV F'ER v1'T CENTER
Residential Construction j x I nstruction o Accessory Bldg
Permit Application [r `'❑ a '' 'on/t `etnodel_ . ?Peck
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SITE ADDRESS 1.0 71 i', 34±±1 L✓1
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 2oAd ere)S a fast Lo f ( e i icI
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Name: ►;cirmorvol ° .G K COName: CA A .,l e.0 t Cwt f
Address: Address: (,0 Z. . Su i 1' AA ed
City: Zip: City: 5 .. k• Ak. a Re Zip: q' 2,/b
Phone: Fax: Phone: q c - ; 6 Fax: 9 2 6- 'd 9 2
Lic No: Exp.Date:
1c ..I l 1. iciii 32" '... ,. r City Business Lic No:
Phone: 21 ;- '
Describe the scope of work in detail: Cost of Project: $ 75,000
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**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:Z ' DIMENSIONS:5-5-PIC Z• #OF STORIES: I TOTAL HABITABLE SPACE:
3508'
MAIN FLOOR TO SQ. 2"D FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG. 175'1 l" 1-75y AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: 0 I-!Z 7 151 PROPERTY: NM
#OF BEDROOMS: -7CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
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DISCLAIMER
The permitee verifies,acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling,the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or
local laws,codes or ordinances.6) Plans or additional information may be required to be submitted,and subsequently approved before
this application processed.
Signature Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ❑ Check 0 Mastercard 0 VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005 '
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PLANNING DEPT. APPROVED
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I DATE: &AblZ°13
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